nyyankees
True Blue
do all injections need floro? nerve, facet, etc. Curious..thanks
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Wiki Crazy Question
- Thread starter nyyankees
- Start date
Walker22
Guest
My Pain Management physicians use flouro whenever possible. Certainly facets and epidurals need them for the best needle placement.
brockorama01
Guest
Actually, I believe the new standard of care for Medicare for facet/Medial branch blocks requires fluoro.
For epidurals, fluoro isn't required but you can't tell what's going on in a pt's back without it. The best example is a pt with low back pain with shooting left leg pain. The pain specialist may try to target the left side of the spine, however, the medication may not go to the left side of the spine due to scar tissue, strange anatomy or bad needle placement. Without fluoro, you would never know if the medication got to the proper area.
Brock Berta, CPC
For epidurals, fluoro isn't required but you can't tell what's going on in a pt's back without it. The best example is a pt with low back pain with shooting left leg pain. The pain specialist may try to target the left side of the spine, however, the medication may not go to the left side of the spine due to scar tissue, strange anatomy or bad needle placement. Without fluoro, you would never know if the medication got to the proper area.
Brock Berta, CPC
hgolfos
Guru
I agree with Brock, you can't properly place a facet joint without flouro, and epidurals do not require it, but it is advantageous. I would add that transforaminal injections and true SI joint injections also require flouro. Again it is advantageous but not required for other nerve blocks, such as interscalene, peripheral, femoral, and so on, as well as other joint injections such as shoulder, hip and knee.
Hope this helps.
Hope this helps.